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Individual

PRASHANT KUMAR JOSHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4440 W 95TH ST FL 8, OAK LAWN, IL 60453-2600
(708) 684-4200
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1250
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036099563
IL
207RH0003X
Hematology & Oncology Physician
036099563
IL
207RX0202X
Medical Oncology Physician
Primary
036-099563
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
363387138
TAX IDENTIFICATION NUMBER
IL
01
363980044
TAX ID#
IL
Enumeration date
07/18/2005
Last updated
03/19/2025
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